GERALD LEWIS BRODY (NPI# 1366575813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366575813 |
| Entity Type | Individual |
| Full Name | GERALD LEWIS BRODY |
| Credential | M.D. |
| Practice Address |
11716 Enterprise Dr Auburn CA 95603-3732 |
| Mailing Address |
2052 Oxbow Ct Meadow Vista CA 95722-9415 |
| Practice Telephone | 5308896700 |
| Practice Fax Number | 5308865415 |
| Mailing Telephone | 5308787478 |
| Mailing Fax Number | 5308782558 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A018113 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DOJ-DEA | AB0297855 | 01 | |
| CA | MEDICAL LICENSE | A18113 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750305298 | Gerald M Brody | Emergency Medicine | 43 Read Ave, Tuckahoe, NY 10707-3213 | 2006-07-27 |
| Street Address |
11716 ENTERPRISE DR |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700815875 | Twylla R.w. Abrahamson | Psychologist | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2006-07-01 |
| 1467001818 | Blanca Lidia Hurtado | Social Worker | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2019-09-09 |
| 1922505718 | Heather Kari Gregory | Counselor | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2018-04-09 |
| 1285141853 | Keith Randall Oxborrow | Marriage & Family Therapist | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2018-01-04 |
| 1700308764 | Unity Care Group, Inc. | Community/Behavioral Health | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2017-07-12 |
| 1144762881 | Shane Libby | Case Manager/Care Coordinator | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2016-11-11 |
| 1982156238 | Roxanne Witz | Case Manager/Care Coordinator | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2016-11-02 |
| 1073065322 | Robyn Gonzales | Case Manager/Care Coordinator | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2016-11-02 |
| 1699220590 | Laurie Leigh Linsley | Counselor | 11716 Enterprise Dr, Auburn, CA 95603-3732 | 2016-08-20 |
| 1043679731 | Kimberly Michelle Smith | Counselor | 11716 Enterprise Dr, Auburn, CA 95603 | 2016-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811103609 | Teresa Jane Pagano | Psychiatry & Neurology | 7432 County House Rd, Auburn, NY 13021-8216 | 2007-05-16 |
| 1174801773 | David Vernon Foster | Psychiatry & Neurology | 1111 High St, Auburn, CA 95603-5151 | 2011-07-30 |
| 1134252901 | Rekha Sheetal Singh | Psychiatry & Neurology | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2007-03-13 |
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| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.